gistfile1.html

<label for="emob_metabox_vendor_first_name">Contact First Name<label><p><input type="text" id="emob_metabox_vendor_first_name" name="emob_metabox_vendor_first_name" value="" /></p><label for="emob_metabox_vendor_last_name">Contact Last Name<label><p><input type="text" id="emob_metabox_vendor_last_name" name="emob_metabox_vendor_last_name" value="" /></p><label for="emob_metabox_vendor_position">Position/Title<label><p><input type="text" id="emob_metabox_vendor_position" name="emob_metabox_vendor_position" value="" /></p><label for="emob_metabox_vendor_address">Contact Address<label><p><input type="text" id="emob_metabox_vendor_address" name="emob_metabox_vendor_address" value="" /></p><label for="emob_metabox_vendor_address_2">Contact Address 2<label><p><input type="text" id="emob_metabox_vendor_address_2" name="emob_metabox_vendor_address_2" value="" /></p><label for="emob_metabox_vendor_city">City<label><p><input type="text" id="emob_metabox_vendor_city" name="emob_metabox_vendor_city" value="" /></p><label for="emob_metabox_vendor_state">State<label><p><select name="emob_metabox_vendor_state" id="emob_metabox_vendor_state"><option value="al">Alabama</option><option value="ak">Alaska</option><option value="az">Arizona</option><option value="ar">Arkansas</option><option value="ca">California</option><option value="co">Colorado</option><option value="ct">Connecticut</option><option value="de">Delaware</option><option value="dc">District Of Columbia</option><option value="fl">Florida</option><option value="ga">Georgia</option><option value="hi">Hawaii</option><option value="id">Idaho</option><option value="il">Illinois</option><option value="in">Indiana</option><option value="ia">Iowa</option><option value="ks">Kansas</option><option value="ky">Kentucky</option><option value="la">Louisiana</option><option value="me">Maine</option><option value="md">Maryland</option><option value="ma">Massachusetts</option><option value="mi">Michigan</option><option value="mn">Minnesota</option><option value="ms">Mississippi</option><option value="mo">Missouri</option><option value="mt">Montana</option><option value="ne">Nebraska</option><option value="nv">Nevada</option><option value="nh">New Hampshire</option><option value="nj">New Jersey</option><option value="nm">New Mexico</option><option value="ny">New York</option><option value="nc">North Carolina</option><option value="nd">North Dakota</option><option value="oh">Ohio</option><option value="ok">Oklahoma</option><option value="or">Oregon</option><option value="pa">Pennsylvania</option><option value="ri">Rhode Island</option><option value="sc">South Carolina</option><option value="sd">South Dakota</option><option value="tn">Tennessee</option><option value="tx">Texas</option><option value="ut">Utah</option><option value="vt">Vermont</option><option value="va">Virginia</option><option value="wa">Washington</option><option value="wv">West Virginia</option><option value="wi">Wisconsin</option><option value="wy">Wyoming</option></select></p><label for="emob_metabox_vendor_zip">Zip<label><p><input type="text" id="emob_metabox_vendor_zip" name="emob_metabox_vendor_zip" value="" /></p><label for="emob_metabox_vendor_phone">Contact Phone Number<label><p><input type="text" id="emob_metabox_vendor_phone" name="emob_metabox_vendor_phone" value="" /></p><label for="emob_metabox_vendor_email">Contact Email Address<label><p><input type="text" id="emob_metabox_vendor_email" name="emob_metabox_vendor_email" value="" /></p><label for="emob_metabox_vendor_twitter">Twitter<label><p><input type="text" id="emob_metabox_vendor_twitter" name="emob_metabox_vendor_twitter" value="" /></p><label for="emob_metabox_vendor_linkedin">LinkedIn<label><p><input type="text" id="emob_metabox_vendor_linkedin" name="emob_metabox_vendor_linkedin" value="" /></p><label for="emob_metabox_vendor_website">Website URL<label><p><input type="text" id="emob_metabox_vendor_website" name="emob_metabox_vendor_website" value="" /></p><label for="emob_metabox_associated_users">Associated Emobsters<label><p><input type="hidden" name="emob_metabox_associated_users" id="emob_metabox_associated_users" value="" /></p><label for="emob_metabox_friendofemob">Friend of Emob</label><p><select id="emob_metabox_friendofemob" name="emob_metabox_friendofemob"><option value="yes">Yes</option><option value="no" selected="selected">No</option></select></p></div>